RCM Specialist I

Job Summary

Working remotely in a full-time capacity, the RCM Specialist I will manage front-end and mid-cycle revenue cycle tasks, focusing on insurance verification, claim submission, and customer service to ensure accurate eligibility and a positive patient experience.

Key Responsibilities

• Perform RCM activities according to best practices and internal SOPs
• Verify insurance coverage and benefits for scheduled patients and accurately update information in the practice management system
• Prepare and submit claims while addressing rejected claims and responding to patient inquiries regarding billing and insurance

Required Qualifications

• Prior experience in dental office workflows and revenue cycle functions, including insurance verification and claim submission
• Knowledge of reimbursement and compliance processes with various payors
• Experience with practice management software systems and strong proficiency in MS Office, particularly Excel
• Organizational skills with a proven attention to detail and strong analytical abilities
• Certification as a Professional Coder (CPC) or Certified Revenue Cycle Professional (CRCP) is preferred